14-106063 CITY nPERMIT APPLICATION
Federal Way ,
PERMIT NUMBER / f4/ _ / 0 rL 6 ln_ _ TARGET DATE
-FR ,
SITE ADDRESS - RECEIVED SUI i NI
1800 South 320th Street ����((��11rr ry (� /�
PROJECT VALUATION ZONING ASSESSOR'S TAX/Pgai L 2 2014
--13,048.11 37/8hI6,i4 0 9 2 (�CRALWAt_ - 9 2 0 8
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL� b5MOLITION 0 ENGINEERING X FIRE PREVENTION
NAME OF PROJECT "Ulta"Seatac Village
Install new fire sprinkler system in proposed building * '11S'11%11(6On (k war-
PROJECT DESCRIPTION
Detailed description of work to V Mir iiiSl MIA"O.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Harsch Investment Properties LLC 503-242-2500
MAILING ADDRESS E-MAIL
1121 SW Salmon Ste 500 brianw@harsch.com
CITY STATE ZIP
Portland OR 97205
NAME PHONE
Archer Construction, Inc. 253-872-7222
MAILING ADDRESS E-MAIL
CONTRACTOR 7855 S. 206th Street pdelgado@archerconstruction.com
CITY STATE ZIP FAX
Kent WA 98032 253-872-7277
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
ARCHEI*219DR 04 / 01 / 15
NAME PRIMARY PHONE
Pete Delgado 253-872-7222
APPLICANT MAILING ADDRESS E-MAIL
7855 S.206th Street pdelgado@archerconstruction.com
CITY STATE ZIP FAX
Kent WA 98032 253-872-7277
NAME PRIMARY PHONE
PROJECT CONTACT Pete Delgado 253-872-7222
(The individual to receive and MAILING ADDRESS EMAIL
7855 S. 206th Street
respond to all correspondence pdelgado@archerconstruction.com
concerning this application) CITY Kent STATE ZIP FAX
WA 98032 53-872-7277
NAME
PROJECT FINANCING N/A 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as part of this application.
SIGNATURE: DATE /i/e 4/2.0/4/
PRINT NAME: PCrra R. VC(.amm00
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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